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Eccentric treatment for patellar tendinopathy: a prospective randomised short-term pilot study of two rehabilitation protocols
Karolinska Institute.
Karolinska Institute.
Swedish School of Sports and Health Sciences.
Karolinska Institute.
2007 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 41, no 7, e7- p.Article in journal (Refereed) Published
Abstract [en]

Objective: To compare the efficacy and safety of two eccentric rehabilitation protocols for patients with symptomatic patellar tendinopathy. A new eccentric overload training device was compared with the present standard eccentric rehabilitation programme on a decline board.Design: Prospective, randomised clinical trial.Setting: Sports rehabilitation clinic, university sports laboratory, supplemented with home exercises.Patients: 20 competitive and recreational athletes, all with clinical diagnosis of patellar tendinopathy, verified by MRI or ultrasound imaging.Interventions: A 12-week rehabilitation period, either with bilateral eccentric overload strength training using the Bromsman device twice a week or with unilateral eccentric body load training using a decline board twice a week, supplemented with daily home exercises.Outcome measures: The primary outcome was pain and function, assessed by the Swedish Victorian Institute of Sport Assessment for Patella (VISA-P) score. Secondary outcome measures were isokinetic muscle torque, dynamic function and muscle flexibility, as well as pain level estimations using visual analogue scale ( VAS). Side effects were registered.Results: Both treatment groups improved in the short term according to the VISA-P scores during the 12-week rehabilitation period. However, there were no significant differences between the groups in terms of pain and function. After a 3-month rehabilitation period, most patients could be regarded as improved enough to be able to return to training and sports. No serious side effects were detected in either group.Conclusion: In patients with patellar tendinopathy pain, two-legged eccentric overload training twice per week, using the new device ( Bromsman), was as efficient and safe as the present standard daily eccentric one-legged rehabilitation-training regimen using a decline board.

Place, publisher, year, edition, pages
2007. Vol. 41, no 7, e7- p.
National Category
Sport and Fitness Sciences
URN: urn:nbn:se:kth:diva-83689DOI: 10.1136/bjsm.2006.032599ISI: 000247469500023OAI: diva2:498927
QC 20120221Available from: 2012-02-12 Created: 2012-02-12 Last updated: 2012-02-21Bibliographically approved

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